34D2017871 CLIA NUMBER - WALLACE GARDENS INC

Laboratory Demographics

  • CLIA Code: 34D2017871
  • Facility Name: WALLACE GARDENS INC
  • Facility Address: 1052 NE RAILROAD ST
    WALLACE, NC
    ZIP 28466
  • Facility Phone: (910) 285-7851
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: JENNIFER STROUD
  • NPI Number: 1902098981
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 34D2017871
LAB Type Assisted Living Facility
Facility Name WALLACE GARDENS INC
Street 1052 NE RAILROAD ST
City WALLACE
State NC
ZIP 28466
Phone 9102857851
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/20/2024
Certificate Expiration Date 12/19/2026
Facility Type Assisted Living Facility
Lab Director JENNIFER STROUD

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This page was last updated on: 5/15/2026